The triglyceride-glucose–waist-to-height ratio is the strongest predictor of reduced kidney function in elderly hypertensive patients - Report - MDSpire

The triglyceride-glucose–waist-to-height ratio is the strongest predictor of reduced kidney function in elderly hypertensive patients

  • By

  • Jiaying Ling

  • Shu Xie

  • Yanyan Zhang

  • Danxiang Chen

  • Changwei Lü

  • Gongcheng Wang

  • Xueqin Li

  • June 15, 2026

  • 0 min

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Clinical Report: Waist-to-Height Ratio and Triglyceride-Glucose Levels in Kidney Function

Overview

Expand to include the specific population studied and the broader implications of TyG-WHtR.

Background

Chronic kidney disease (CKD) is a major health concern, particularly among older adults with hypertension, which significantly increases the risk of renal impairment. The timely identification of individuals at risk for hypertensive nephropathy is crucial for implementing preventive strategies. This study explores novel indices, such as the triglyceride-glucose waist-to-height ratio (TyG-WHtR), to enhance early detection of renal dysfunction.

Data Highlights

Revise table for clarity and completeness; consider including additional relevant parameters.

Key Findings

  • Elevated TyG-WHtR is a robust predictor of reduced eGFR in elderly hypertensive patients.
  • TyG-WHtR showed superior predictive ability compared to TyG, TyG-BMI, and TyG-WC.
  • Significant negative correlation between TyG-related indices and HDL-C levels.
  • Positive correlation with adiposity measures, fasting plasma glucose, and non-HDL cholesterol.
  • Gender, age, and alcohol consumption significantly interacted with TyG-WHtR's predictive capacity.

Clinical Implications

Healthcare professionals should consider incorporating TyG-WHtR into routine assessments for older hypertensive patients to identify those at risk for renal dysfunction. Early intervention strategies can be tailored based on these findings to mitigate the progression of CKD.

Conclusion

The study underscores the importance of TyG-WHtR as a valuable marker for early detection of renal dysfunction in older adults with hypertension, highlighting its potential role in clinical practice.

Related Resources & Content

  1. Frontiers in Endocrinology, 2026 -- High-Sensitivity C-Reactive Protein–Triglyceride-Glucose Composite Index and Reduced Estimated Glomerular Filtration Rate in Adults Undergoing Routine Health Examinations
  2. Frontiers in Medicine, 2026 -- Stress Hyperglycemia Ratio (SHR) and Triglyceride-Glucose Index (TYG) Associated with Renal Response to Finerenone in Diabetic Kidney Disease
  3. The Journal of Clinical Endocrinology & Metabolism -- Kidney Hyperfiltration and Mitochondrial Changes Are Associated With eGFR Decline in Young People With Type 1 Diabetes
  4. Frontiers in Endocrinology — Association between triglyceride glucose-body mass index and incident risk of heart failure among patients with type 2 diabetes: a real-world study
  5. KDIGO 2024 CKD Guideline Summary Recommendations
  6. 2025 AHA/ACC Hypertension Guideline
  7. NICE Quality Standards for Overweight and Obesity Management
  8. ESC Consensus Statement on Obesity and CVD: Key Points - American College of Cardiology
  9. Dapagliflozin in Patients with Chronic Kidney Disease | New England Journal of Medicine
  10. Empagliflozin in Patients with Chronic Kidney Disease | New England Journal of Medicine
  11. Association between triglyceride-glucose index and risk of chronic kidney disease: a meta-analysis - PMC
  12. Triglyceride-glucose index association with kidney function in adults; a population-based study | BMC Endocrine Disorders | Springer Nature Link
  13. Association between the triglyceride-glucose index and its combined obesity indicators and the risk of hypertension in middle-aged and older Chinese adults: A nationwide cross-sectional study - PubMed

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